| NPI | 1336120294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01062966A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35084055) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2007-07-08 |