| NPI | 1801081971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.009956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018553) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2019-04-30 |