| NPI | 1447772017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD484375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.148145) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2024-08-28 |