| NPI | 1952978108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.151880) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351048595) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2024-11-07 |