| NPI | 1093929424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 2239) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 58.001640) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-04-05 |