| NPI | 1447347158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35091112) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA77005) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2021-12-22 |