| NPI | 1740642206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101270412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57027666) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2021-02-22 |