| NPI | 1689798951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35094764) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57-012185) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-04-21 |