| NPI | 1144286634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35.082551) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 350825510) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2020-10-22 |