| NPI | 1174813638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.125351) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OH 35.125351) |
| 208800000X Urology (Licence: OH 35.125351) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2023-07-12 |