| NPI | 1346793338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.013618) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 58.007947) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2018-11-06 |