| NPI | 1437716990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.144704) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 82640) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2022-09-06 |