| NPI | 1871727339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 106507) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35093129) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2012-10-23 |