| NPI | 1922382530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS017338) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.016847) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2025-07-22 |