| NPI | 1891815320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35093936) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD040679) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-01-06 |