| NPI | 1881213312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.016093) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102208404) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2026-04-07 |