| NPI | 1740613058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.128453) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA Mt203690) |
| Enumeration Date | 2013-08-11 |
| Last Update Date | 2021-04-22 |