| NPI | 1295023034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A122647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.096947) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2013-11-14 |