| NPI | 1760801476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A170137) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.129695) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2025-07-24 |