| NPI | 1467771329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.122522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301095790) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2023-11-03 |