| NPI | 1356306773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 270724) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35081384) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2018-10-02 |