| NPI | 1285891655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35121201) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 57.013550) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2022-01-25 |