| NPI | 1194037093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD454395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.023824) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2020-10-05 |