| NPI | 1194932327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: OH 35.086767) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 35.086767) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-11-03 |