| NPI | 1992030449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.010997) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H77438) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2016-07-13 |