| NPI | 1891051959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 83735) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.011886) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2025-09-15 |