| NPI | 1336533439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.131191) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35.131191) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2019-10-17 |