| NPI | 1568451847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34-007712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34007712) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2011-08-09 |