| NPI | 1215162953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 60489007) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.099182) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2014-10-29 |