| NPI | 1871551846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.086588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 227189) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2021-01-06 |