| NPI | 1184864449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 58-002531) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 58.002531) |
| 207Q00000X Family Medicine (Licence: CA 20A11261) | |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2021-12-17 |