| NPI | 1659332492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35053928) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.053928) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-11-01 |