| NPI | 1659309763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA c134710) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.086037) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2024-04-09 |