| NPI | 1649471491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.091840) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57008561) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2023-05-09 |