| NPI | 1801324744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.139808) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT213340) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2026-01-30 |