NPI | 1649261876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301510115) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35072147E) |
207Q00000X Family Medicine (Licence: OH 35-072147) | |
Enumeration Date | 2005-11-05 |
Last Update Date | 2024-01-26 |