| NPI | 1508186404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101018814) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34-011394) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2024-01-04 |