| NPI | 1114194321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.093506) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A 109845) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2018-02-01 |