| NPI | 1871121889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.147767) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 69207) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2023-12-05 |