| NPI | 1649276585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 257597) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 38567) |
| 207R00000X Internal Medicine (Licence: OH 35.090471) | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2021-12-17 |