| NPI | 1396708483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.092979) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: KY 38773) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2021-08-31 |