| NPI | 1063552412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 5477) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.008549) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2012-03-15 |