| 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 |