| NPI | 1699038950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C165933) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.134317) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2023-11-27 |