| NPI | 1396186961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.135338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME127201) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2020-08-11 |