| NPI | 1356631303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.120631) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.017364) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2021-12-21 |