| NPI | 1003807462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M2737) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 350810210) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2011-06-23 |