| NPI | 1083641245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.131890) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 13310) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2022-07-21 |