| NPI | 1972032274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.148302) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301501959) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-06-22 |