| NPI | 1407153869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35134789) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 52916) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2020-12-18 |