| NPI | 1578563706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.087090) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.087090) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2025-06-19 |