| NPI | 1144207499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.081393) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 40537) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2016-03-25 |