| NPI | 1285695874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301070129) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301070129) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2019-05-06 |