| NPI | 1538216031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35.121656) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0007967) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-09-22 |