| NPI | 1023446101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 57.023148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0057627) |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2017-01-06 |