| NPI | 1174824015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.125412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A123216) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2015-10-03 |