| NPI | 1336304609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35096426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 61739) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2020-02-19 |