| NPI | 1386693166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301059337) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MI 4301059337) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2017-01-14 |