| NPI | 1497710537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-073585) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-073585) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-12-11 |