| NPI | 1861666208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME81315) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.077778) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2018-04-11 |