| NPI | 1790781508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301079018) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35062195) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2023-11-27 |