| NPI | 1477667814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 49206) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MN 49206) |
| 174400000X Specialist (Licence: IA 31199) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-07-15 |