| NPI | 1588604672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35126974) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E2657) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-11-15 |