| NPI | 1952895658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35145764) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R11086) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-08-01 |