| NPI | 1295876449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 2137) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.008561) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2024-09-17 |