| NPI | 1649453820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.092956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M8050) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2023-08-21 |