| NPI | 1225132608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AZ 29795) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 29795) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-01-21 |