| NPI | 1154527679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 2008-01322) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35.092662) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX N5485) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: SC 33315) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2013-02-25 |