| NPI | 1053353318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME110524) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35045549) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-05-03 |