| NPI | 1952614851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.099923) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 321554) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2023-05-09 |