| NPI | 1578764684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200901153) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57010017) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2016-11-17 |