| NPI | 1750578779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M8690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35089386) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2014-03-20 |