| NPI | 1750327565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35057267) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35057267b) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-05-25 |