| NPI | 1902326218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301502322) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35145006) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2026-04-20 |