| NPI | 1265412944 |
|---|---|
| Former Name | LORETTA B ROACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-057341) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2010-09-09 |