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 |