| NPI | 1073831335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.010671) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 58. 003183) |
| 207Q00000X Family Medicine (Licence: NY 276118) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2016-05-17 |