| NPI | 1467526970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35-098977) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301078854) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2021-01-26 |