| NPI | 1508961525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35127557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD417009) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-12-07 |