| NPI | 1447401062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 096143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD437633) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2010-11-17 |