| NPI | 1154323426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CT 036939) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: ND 9535) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2010-02-18 |