| NPI | 1407810971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME116804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35078470b) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-10-05 |