| NPI | 1528220365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301096606) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.123013) |
| 208000000X Pediatrics (Licence: MI 4301096606) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2022-02-28 |