| NPI | 1902241904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.151845) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q6923) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2025-02-27 |