| NPI | 1720063472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.085296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 85296) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2010-02-22 |