| NPI | 1336329465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CT 048300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 048300) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2011-02-18 |