| NPI | 1477577419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35067344) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35067344) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-09-29 |