| NPI | 1386841716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.012883) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 14994) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2022-01-25 |