| NPI | 1982724415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: OH 35.095176) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OH 57-010384) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-12-16 |