| NPI | 1730130139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.140725) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD052238L) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-06-20 |