| NPI | 1316309016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35133670) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.027675) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-07-15 |