| NPI | 1659462166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 34008699) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34008699) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2025-10-24 |