| NPI | 1326489352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.128644) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.022401) |
| Enumeration Date | 2013-07-06 |
| Last Update Date | 2016-06-16 |