| NPI | 1811178411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.099176) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 201427) |
| Enumeration Date | 2007-11-25 |
| Last Update Date | 2013-03-25 |