| NPI | 1972586592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301078716) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35133459) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2019-10-14 |