| NPI | 1205909926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35056699) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 16448) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OH 35056699) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PR 16448) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-03-07 |