| NPI | 1073874467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.126562) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-126562) |
| Enumeration Date | 2012-06-03 |
| Last Update Date | 2018-01-20 |