| NPI | 1548689151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.133272) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.133272) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2020-02-28 |