| NPI | 1740784404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301509876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.145549) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-08-01 |