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 |