| NPI | 1841282456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301091013) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35078873J) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2015-05-20 |