| NPI | 1891834172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M9478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35088931) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2018-10-05 |