| NPI | 1154504868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35-092797) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 57-013690) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2022-01-05 |