| NPI | 1457328296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.142855) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M5469) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2023-11-15 |