| NPI | 1558927707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 92366) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58.031135) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2022-09-26 |