NPI | 1790726800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35070531S) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35070531) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2012-10-30 |