| NPI | 1447272844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35-081131) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.081131) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2019-04-30 |