| NPI | 1144509316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35126302) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35126302) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2021-03-23 |