| NPI | 1861819153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MD D90616) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35132226) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2022-02-01 |