| NPI | 1457494064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35.096752) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P20422) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2015-06-29 |