| NPI | 1568088763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.150281) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351046248) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-03-07 |