| NPI | 1942239942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34008786) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102203218) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2015-05-06 |