NPI | 1720157738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35-084336) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-084336) |
207R00000X Internal Medicine (Licence: KY 38380) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: KY 38380) | |
Enumeration Date | 2006-11-06 |
Last Update Date | 2016-09-27 |