| NPI | 1922351881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD197878) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.126792) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2024-04-24 |