| NPI | 1770846552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: OH 34.011972) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.011972) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2019-10-10 |