| NPI | 1871770636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 57.013693) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.013693) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |