| NPI | 1881840973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 6252) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 50.001127) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2017-04-12 |