| NPI | 1881718989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35077940) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35077940S) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-06-16 |