| NPI | 1962505529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: OH 35-052955) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35052955) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2019-05-30 |