| NPI | 1427248459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D0069962) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301083866) |
| 207Q00000X Family Medicine (Licence: MD D0069962) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2011-12-20 |