| NPI | 1447990940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.017765) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 58.033045) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2025-08-11 |