| NPI | 1366601932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 41969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 978865432) |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2018-03-17 |