NPI | 1205858040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.133256) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 31188) |
207Q00000X Family Medicine (Licence: KS KS 04-31188) | |
Enumeration Date | 2006-07-24 |
Last Update Date | 2024-09-13 |