| NPI | 1265747208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.125317) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 125317) |
| Enumeration Date | 2010-08-14 |
| Last Update Date | 2021-12-02 |