| NPI | 1952346116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.067141) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-06-7141 C) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2021-10-11 |