| NPI | 1194012245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 124544) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A133005) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2016-07-08 |