NPI | 1023373081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.129777) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 06008) |
207Q00000X Family Medicine (Licence: IN 01083609A) | |
Enumeration Date | 2012-07-05 |
Last Update Date | 2020-04-17 |