| NPI | 1801174693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301100082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57014305) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2021-03-01 |