| NPI | 1619325057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.144315) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03705) |
| 207R00000X Internal Medicine (Licence: PA MT217496) | |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2022-03-18 |