| NPI | 1053553925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35099804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13435) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2015-02-10 |