| NPI | 1649426412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-097624) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-097624) |
| 207Q00000X Family Medicine (Licence: IL 125.053618) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2021-01-29 |