| NPI | 1003296302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.142032) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 29689) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2021-08-12 |