| NPI | 1962615005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.094370) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.011519) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2013-08-20 |