| NPI | 1194999573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 39105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.011177) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2011-02-01 |