| NPI | 1518307628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2017021268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.132018) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2022-10-13 |