| NPI | 1013990720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0032073) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D0032073) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2016-08-02 |