| NPI | 1356924518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A23618) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 58.032475) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2025-01-09 |