| NPI | 1902881360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 510-102-0677) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 7175) |
| 207R00000X Internal Medicine (Licence: OH 34007175) | |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2021-04-20 |