| NPI | 1912944984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35068401) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH 35.068401) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2021-10-08 |