| NPI | 1467576934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV A13230) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 57.012571) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2016-09-14 |