| NPI | 1023110145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.093853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2003011606) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2009-09-15 |