| NPI | 1457618126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS14076) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.011874) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2017-03-24 |