| NPI | 1104046804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-067285) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35067282) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-12-06 |