| NPI | 1972869519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35125690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.020987) |
| 207R00000X Internal Medicine (Licence: OH 35 125690) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2019-12-13 |