| NPI | 1477112811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.015799) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11020373A) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2022-07-18 |