| NPI | 1881985950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34011519) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013917) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2020-05-07 |