| NPI | 1750874467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.142780) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215739) |
| 207R00000X Internal Medicine (Licence: OH 57.248553) | |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2021-07-06 |