| NPI | 1942839873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 78798) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.147595) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2026-04-22 |