| NPI | 1750383840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.152589) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 20206) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2025-02-13 |