| NPI | 1164430161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036098251) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35074153) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2015-08-11 |