| NPI | 1255397139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS16594) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.006712) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2024-06-07 |