| NPI | 1952306292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-088973) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 42355) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2008-08-08 |