NPI | 1487094694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.013343) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 39103) |
207Q00000X Family Medicine (Licence: WV #ED0383A) | |
Enumeration Date | 2013-07-02 |
Last Update Date | 2018-05-15 |