| NPI | 1558924183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 73428) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.145887) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-10-21 |