| NPI | 1124462205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 63045-20) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WI 63045-20) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2021-01-15 |