| NPI | 1871851964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.133119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 48076) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2019-09-10 |