| NPI | 1184665408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35071076s) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35071076) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: OH 35071076s) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2010-11-22 |