| NPI | 1578662912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.038473) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35.038473) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-08-31 |