NPI | 1487858494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.092247) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: OH 35.092247) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2024-01-24 |