| NPI | 1538370705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301083392) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.089410) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2016-11-14 |