| NPI | 1447571567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-37805) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35120601) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2015-06-15 |