| NPI | 1396905279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.123995) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57010314) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2010-11-16 |