| NPI | 1851605554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A122983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57-017398) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2017-05-24 |