| NPI | 1932412855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 56965-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.098165) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2021-04-02 |