NPI | 1669587572 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35063226) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35063226) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2021-12-27 |