| NPI | 1285722017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35062262) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-06-2262M) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-07-28 |