| NPI | 1740247436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-062388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2020-00294) |
| 208000000X Pediatrics (Licence: OH 35-062388) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-13 |