| NPI | 1487948931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301098329) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: MI 4301098329) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2020-03-20 |