| NPI | 1508870353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-08-5541) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35085541) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-12-02 |