| NPI | 1487141461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35153921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301505708) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2025-06-20 |