| NPI | 1588087738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A148582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 128847) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2020-09-24 |