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 |