| NPI | 1588694541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.063095) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: OH 35-063095) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35-063095) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2013-05-20 |