NPI | 1932767142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.146457) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 94-09931) |
Enumeration Date | 2019-06-03 |
Last Update Date | 2023-05-19 |