| NPI | 1811008097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: OH 35.144789) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2012013466) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-08-05 |