| NPI | 1710102124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE c2-0009051) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58002204) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2011-02-10 |