| NPI | 1275510166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35082161W) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-08-2161) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2024-11-20 |