| NPI | 1679781629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35-094034) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57010368) |
| 207R00000X Internal Medicine (Licence: OH 35-094034) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2010-08-10 |