| NPI | 1861699548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.009575) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.009575) |
| 207Q00000X Family Medicine (Licence: KY 03249) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2024-01-03 |