| NPI | 1679982193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 34.013164) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.013164) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: OH 34.013164) | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2023-11-01 |