| NPI | 1104192889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KY 355865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.011969) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2021-11-02 |