| NPI | 1629206842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD446361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.125361) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2015-05-20 |