NPI | 1902287972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.146326) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301107552) |
Enumeration Date | 2015-06-15 |
Last Update Date | 2022-11-21 |