| NPI | 1578798294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 47621) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.099486) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2016-12-02 |