| NPI | 1811907603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.088432) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 55140) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2021-01-05 |