| NPI | 1669836086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 0036863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 0036863) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2024-06-28 |