| NPI | 1750507505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.088052) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.088052) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-09-06 |