| NPI | 1801955232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 13751) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.141977) |
| 207R00000X Internal Medicine (Licence: NC 2017-02612) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2023-07-24 |