| NPI | 1780874404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35088662) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.088662) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2023-11-03 |