| NPI | 1922684984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.149709) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.149709) |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2024-09-11 |