| NPI | 1710924659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35081852) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH 35-081852) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-04-21 |