| NPI | 1508818873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2016-00890) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35079453) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2021-12-14 |