| NPI | 1821397613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.010712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 2466) |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2025-12-30 |