| NPI | 1780894279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 42820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 43081087595) |
| 207R00000X Internal Medicine (Licence: OH 35.129120) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-05-18 |