| NPI | 1164592945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-07-2217) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-07-2217) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-08-31 |