| NPI | 1659666915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.123445) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11015978A) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2024-03-04 |