| NPI | 1730614322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02007485A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.014159) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-08-29 |