| NPI | 1700039690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.010014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58.002859) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2014-09-26 |