| NPI | 1447488622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0505X (Licence: OH 34.010523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34010523) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2026-06-19 |