| NPI | 1639747157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.151102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101287429) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2026-01-21 |