| NPI | 1104073212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 3509641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57014241) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2018-04-02 |