| NPI | 1427257757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35121585) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT191595) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2017-11-29 |