| NPI | 1649513367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34012862) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H0081197) |
| 207Q00000X Family Medicine (Licence: DC DO034562) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2022-01-25 |