| NPI | 1043500135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-02162) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35125459) |
| 207R00000X Internal Medicine (Licence: OH 35 125459) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2021-02-24 |