| NPI | 1558678052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35121708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125057327) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2021-12-01 |