| NPI | 1881685154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-088784) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 205221) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2022-07-26 |