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 |