| NPI | 1568759884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.121549) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD452879) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2016-12-30 |