| NPI | 1033165725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34C.000211) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 02743) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-12-26 |