| NPI | 1942564802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.127125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 56604) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2016-11-01 |