| NPI | 1740690916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.017215) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL DO.1542) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2024-07-22 |