| NPI | 1770547291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 277480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35075594) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2014-11-06 |