| NPI | 1639147655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-125104) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01054671A) |
| 207R00000X Internal Medicine (Licence: MI 4301093380) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2015-12-22 |