| NPI | 1669644787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2008-01818) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2008-01818) |
| 207R00000X Internal Medicine (Licence: OH 35-090905) | |
| 207R00000X Internal Medicine (Licence: OH 35090905) | |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2021-02-26 |