| NPI | 1740785971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 56536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.139728) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-02-27 |