| NPI | 1851555700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G88473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.062124) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2013-06-08 |