| NPI | 1568165389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301517554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.254730) |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2026-08-03 |