| NPI | 1780824037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 58.002346) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02003631a) |
| 207Q00000X Family Medicine (Licence: IL 036129431) | |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2021-07-08 |