| NPI | 1023373081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.129777) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 06008) |
| 207Q00000X Family Medicine (Licence: IN 01083609A) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2020-04-17 |