| NPI | 1508804634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.146256) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L7399) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-09-21 |