| NPI | 1366713059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35127472) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35127472) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2016-08-25 |