| NPI | 1427095736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.074211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 20268) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2021-01-21 |