| NPI | 1457846263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.141002) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A174558) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2026-05-12 |