| NPI | 1972559896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35087481) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 201001362) |
| 207R00000X Internal Medicine (Licence: NC 2010-01362) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2010-12-15 |