| NPI | 1306264510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.130254) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.024361) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2017-05-11 |