| NPI | 1780063578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 35133259) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107202) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2022-07-24 |