| NPI | 1518303585 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.148746)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD458579)  | 
| 207R00000X Internal Medicine (Licence: MO 2018030701)  | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35.148746)  | |
| Enumeration Date | 2013-05-17 | 
| Last Update Date | 2023-08-17 |