| NPI | 1205824687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.007042) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.007042) |
| 207Q00000X Family Medicine (Licence: WV 1169) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2025-05-16 |