| NPI | 1336305820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R1658) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 010241) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2022-01-14 |