| NPI | 1528453842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: GA 86744) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.133518) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2021-02-23 |