| NPI | 1780648923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35068475) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-068475) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2018-11-23 |