| NPI | 1093730020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 214679) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.075793) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-03-22 |