| NPI | 1093971012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-24807) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.097781) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2025-02-27 |