| NPI | 1144548223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 265046) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.121964) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2019-12-05 |