| NPI | 1902250236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A161119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.027864) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2024-03-14 |