| NPI | 1700184231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P4556) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.121059) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2018-03-17 |