| NPI | 1568156933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: OH 57.257578) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-12744) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2024-06-20 |