| NPI | 1295812485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35071759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01045888A) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-01-04 |