| NPI | 1649386350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35-095666) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0061343) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-08-30 |