| NPI | 1932357225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.139779) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042.0012671) |
| 207R00000X Internal Medicine (Licence: WV 24535) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2023-01-30 |