| NPI | 1417392788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 04418) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.012290) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2024-10-07 |