| NPI | 1477931319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.133964) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH TE061308) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2024-05-01 |