| NPI | 1003236811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.146252) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD176981) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2022-10-05 |