| NPI | 1437674561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME144830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.030119) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2020-04-28 |