| NPI | 1487885067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A132461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 240982) |
| 207R00000X Internal Medicine (Licence: OH 35099976) | |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2019-08-06 |