| NPI | 1134152309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35-050825) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 50825) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-12-04 |