| NPI | 1184617904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X (Licence: OH 35059192) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME93072) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME93072) | |
| 2085R0001X (Licence: KY 32917) | |
| 2085R0001X (Licence: IN 01052989A) | |
| 2085R0001X (Licence: FL ME93072) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2021-04-19 |