| NPI | 1710988282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01052983A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35084375) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-08-01 |