| NPI | 1033525589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34-012124) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH AG2820579-G2935) |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2021-09-09 |