| NPI | 1285881540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D70738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A109183) |
| 207R00000X Internal Medicine (Licence: OH 35.094171) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2011-02-02 |