| NPI | 1306915947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VA 0101235839) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101235839) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0101235839) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2011-11-08 |