| NPI | 1770932238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.146000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY TL-R4280) |
| 207Q00000X Family Medicine (Licence: IN 01082485A) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2022-09-15 |