| NPI | 1477714202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: DC MD03967) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD d0074668) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2017-10-24 |