| NPI | 1881977171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 23558185) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 23558185) |
| 207R00000X Internal Medicine (Licence: OH 23558185) | |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |