| NPI | 1497748859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: KS 04-31476) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NM 2001-125) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2011-03-10 |