| NPI | 1225617095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.016889) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 58.032209) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2024-07-01 |