| NPI | 1710183710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 39759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.012832) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2021-06-21 |