NPI | 1982953030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35061970) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35061970) |
Enumeration Date | 2012-09-05 |
Last Update Date | 2024-03-25 |