NPI | 1417040155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.085472) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME159307) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2024-10-29 |