| NPI | 1457528192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q5636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.091883) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2016-11-30 |