| NPI | 1033197751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 41140) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35082388R) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2022-05-25 |