| NPI | 1639335888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-12872) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.014583) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2015-07-14 |