| NPI | 1467571463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301081639) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301081639) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-03-26 |