| NPI | 1558460469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35055269) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 056997) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2016-12-05 |