NPI | 1205877826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35-08-3516) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 22917) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2020-12-04 |