| NPI | 1588928188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.138119) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: NE 27834) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2019-12-06 |