| NPI | 1942227871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D069608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.087638) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2011-06-29 |