| NPI | 1659018331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.017316) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH 34.017316) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2025-07-09 |