| NPI | 1831683739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 57.253417) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2017042961) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2022-04-27 |