| NPI | 1487722690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 093903) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD27309) |
| 207Q00000X Family Medicine (Licence: TN 42890) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OH 093903) | |
| 207Q00000X Family Medicine (Licence: KY 41451) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-03-07 |