| NPI | 1063709046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 47687) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57014840) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2015-07-26 |