| NPI | 1780787762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A7079) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34006423) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2017-03-17 |