| NPI | 1184670325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 37175) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35069396) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2025-01-30 |