| NPI | 1659376960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA os015102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.010317) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2015-08-24 |