| NPI | 1013179787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 254034) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MA 254034) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2013-07-31 |