| NPI | 1861427973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 35 050321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 050321) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-06-21 |