| NPI | 1316325384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.144229) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD468437) |
| 207Q00000X Family Medicine (Licence: WA MD60828363) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2022-05-20 |