| NPI | 1346262821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101010026) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: MI 5101010026) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |