| NPI | 1619266947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS13831) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT012476) |
| 207Q00000X Family Medicine (Licence: OH 34-010694) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2023-07-31 |