| NPI | 1841907664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY TP803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.253915) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2026-01-26 |