| NPI | 1487751046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: OH 3400806) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: OH 34-00-8060-M) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2012-03-30 |