NPI | 1588787329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35-05-1030-S) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.051030) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2020-06-05 |