| NPI | 1457514903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD171072) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH AR2812750-RH-97) |
| Enumeration Date | 2008-07-04 |
| Last Update Date | 2025-03-13 |