NPI | 1255622619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 097945) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036127026) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2011-11-01 |