| NPI | 1275854671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: OR MD168402) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD168402) |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2018-03-17 |