| NPI | 1235457763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MN 54245) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101021959) |
| 207Q00000X Family Medicine (Licence: MN 54245) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 5101021959) | |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2020-07-28 |