| NPI | 1881809598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A107006) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH NA) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2023-09-20 |