| NPI | 1619318532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.152317) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A136805) |
| 207Q00000X Family Medicine (Licence: MA 275039) | |
| 207R00000X Internal Medicine (Licence: OH 35.152317) | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2025-04-08 |