| NPI | 1790948263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 010190) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS015578) |
| Enumeration Date | 2008-07-05 |
| Last Update Date | 2013-02-11 |