| NPI | 1871954206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101025156) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.014660) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 34.014660) | |
| Enumeration Date | 2016-03-12 |
| Last Update Date | 2026-05-28 |