| NPI | 1083744924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301111054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 36834) |
| 207R00000X Internal Medicine (Licence: OH 35-094523) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2016-09-14 |