| NPI | 1174529861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: OH 35068088) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35068088) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2024-06-27 |