| NPI | 1720056872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35081329W) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01056128A) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2013-04-22 |