NPI | 1619201688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.014037) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 34.014037) |
207Q00000X Family Medicine (Licence: MI 5101018178) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 5101018178) | |
Enumeration Date | 2009-09-23 |
Last Update Date | 2019-10-07 |