| NPI | 1205095957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35.092256) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 40240) |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2014-06-11 |