| NPI | 1861912230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35139811) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.029854) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2021-06-03 |