| NPI | 1104822741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.066896) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01064395A) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-05-20 |