| NPI | 1861953804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301509591) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.144293) |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2023-08-28 |