| NPI | 1992317879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2024-1192) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.249671) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2025-05-21 |