| NPI | 1023570439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.149047) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD479166) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2023-09-20 |