| NPI | 1447693239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35127838) |
| Additional Taxonomies | 208D00000X General Practice (Licence: KY 60346) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2025-08-07 |