| NPI | 1861480527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.009427) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 2011) |
| 207R00000X Internal Medicine (Licence: PA OS012480) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-05-13 |