| NPI | 1952716748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35130072) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT205790) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2022-07-21 |