NPI | 1396746285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35048551) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 35048551) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2013-12-02 |