| NPI | 1639308992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.017558) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL UO 2266) |
| 207Q00000X Family Medicine (Licence: FL OS11031) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2025-01-07 |