| NPI | 1992264774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.149023) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2022018630) |
| 207Q00000X Family Medicine (Licence: MO 2022018630) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-08-16 |