| NPI | 1326049081 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35070944)  | 
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: OH 35070944)  | 
| 208000000X Pediatrics (Licence: OH 35070944)  | |
| Enumeration Date | 2005-08-03 | 
| Last Update Date | 2024-06-24 |