| NPI | 1831257211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 0064137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35054708) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |