| NPI | 1952567166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2011-01494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58.002480) |
| 207R00000X Internal Medicine (Licence: SC 87933) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2023-08-30 |