| NPI | 1114180791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 075268) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.009839) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2024-05-17 |