| NPI | 1134131626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 48264) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 48264) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2023-06-28 |