| NPI | 1154487726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 7385) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 3285) |
| 207Q00000X Family Medicine (Licence: OH 34005447G) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2023-06-23 |