| NPI | 1609805589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.129826) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD419387) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2024-02-16 |