| NPI | 1841487535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.123771) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A95201) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2021-09-28 |