| NPI | 1235369836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35125422) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301095078) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2017-03-13 |