NPI | 1346601242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.139884) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-41320) |
Enumeration Date | 2016-03-19 |
Last Update Date | 2021-06-17 |