| NPI | 1932167236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.083839) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301099400) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2019-08-20 |