| NPI | 1841433448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.127084) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101252699) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2015-11-04 |