| NPI | 1558348714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35050078J) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.050078) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2021-01-20 |