| NPI | 1629158837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004192A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34006200) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-10-09 |