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 |