| NPI | 1346508926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35 126104) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.021008) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2018-01-26 |