| NPI | 1285098962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A181870) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35136101) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2023-04-10 |