| NPI | 1780801282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2016-00211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.010725) |
| 207R00000X Internal Medicine (Licence: MS 21307) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-02-12 |