| NPI | 1952690612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35120980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.019395) |
| 208000000X Pediatrics (Licence: OH 35120980) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2024-11-19 |