| NPI | 1912019324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.073487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35073487) |
| 208000000X Pediatrics (Licence: OH 35073487) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-11-07 |