| NPI | 1518453224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.142788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301115290) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2024-01-09 |