| NPI | 1730316217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME105212) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.011241) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2011-02-24 |