| NPI | 1457476269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60224039) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.010481) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2013-06-13 |