| NPI | 1073541199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35-087336) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 087336) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2021-12-15 |