| NPI | 1376524223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME97551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35083524) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2012-04-30 |