| NPI | 1932776168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.017506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151015250) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2025-05-07 |