| NPI | 1427075514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35081790) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 39481) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35081790) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: KY 39481) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-27 |