NPI | 1376520353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35079432) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35.079432) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2020-11-12 |