| NPI | 1578190963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 5304) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.015750) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-01-24 |