| NPI | 1417194606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-056421) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101235802) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-05-25 |