| NPI | 1881121564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.013657) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.013657) |
| 207Q00000X Family Medicine (Licence: WI 73248) | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2022-10-18 |