| NPI | 1356556781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 35.122512) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101244162) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2025-07-31 |