| NPI | 1376603753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34-00-5282) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 34-00-5282) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2019-06-16 |