| NPI | 1427032952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35087874) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01048969A) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2013-04-05 |