| NPI | 1134369465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.094886) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA C144687) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2026-01-05 |