| NPI | 1700014677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 36991) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.123317) |
| 207R00000X Internal Medicine (Licence: SC LL32005) | |
| 207R00000X Internal Medicine (Licence: SC 32005) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2025-12-08 |