| NPI | 1376751511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2015028103) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.011724) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2017-11-16 |