| NPI | 1225356751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS019454) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34-009805) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2021-01-23 |