NPI | 1043217839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.044589) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35044589L) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2011-10-06 |