| NPI | 1194957431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35130471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103372) |
| 208000000X Pediatrics (Licence: MI 4301103372) | |
| 208000000X Pediatrics (Licence: OH 3513041) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2018-02-14 |