| NPI | 1861763526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME123342) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.125061) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2022-11-17 |