| NPI | 1871790337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS11704) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34-007731) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2024-01-23 |