| NPI | 1932163227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9600312) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-084496) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2018-12-14 |