| NPI | 1457313850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 1487) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 1487) |
| 207R00000X Internal Medicine (Licence: OH 34.017806) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2025-10-21 |