| NPI | 1487646238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 219012) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34008037) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2024-09-10 |