| NPI | 1932449055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P3570) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.016107) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2022-09-26 |