| NPI | 1952401044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 48371) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-74642) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2018-03-17 |