| NPI | 1215966890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: OH 35048907) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35048907) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-12-27 |