| NPI | 1689107732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61088204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.245069) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2025-09-12 |