| NPI | 1417262932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 72073) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301096077) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 72073) | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2021-12-02 |