| NPI | 1962814160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH fs6775982) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301105095) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2018-07-31 |