| NPI | 1215975354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01061456A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.123422) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2021-05-14 |