| NPI | 1396993788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 7644220) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301106169) |
| 207Q00000X Family Medicine (Licence: NC 2011-01977) | |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2021-12-02 |