| NPI | 1750945002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 88132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.247655) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2023-04-10 |