NPI | 1659345684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.142506) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD054479L) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2022-10-18 |