| NPI | 1144269796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 39710) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35084870) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-05-01 |