| NPI | 1659669646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.124259) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.124259) |
| 207Q00000X Family Medicine (Licence: MI 4301098186) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2024-04-05 |