| NPI | 1275832131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-099661) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.015988) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2012-12-11 |