| NPI | 1851357065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D82564) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-06-9820) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-10-18 |