| NPI | 1982058236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 1982058236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.028165) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2017-04-15 |