| NPI | 1841252822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301089156) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35. 080769) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2009-09-27 |