| NPI | 1639555386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 33232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.133390) |
| 207R00000X Internal Medicine (Licence: NC 2020-00422) | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2024-07-12 |