NPI | 1912046244 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 062861) |
Additional Taxonomies | 208D00000X General Practice (Licence: NY 267418) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2019-07-31 |