| NPI | 1962441451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD222091) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35069865) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-10-08 |