| NPI | 1265404875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.121970) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD419321) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2018-04-30 |