| NPI | 1285035030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301111660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.024105) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2018-06-11 |