| NPI | 1992035281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 35.054904) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH 35054904) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |