| NPI | 1588675631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34006738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 0S009111L) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2011-09-23 |