| NPI | 1902245087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.122808) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.019014) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2022-12-07 |