| 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 |