NPI | 1174938997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34012755) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.012755) |
Enumeration Date | 2014-07-01 |
Last Update Date | 2022-11-14 |