| NPI | 1740274760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35074904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD20449) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2025-07-14 |