| NPI | 1528228046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 43411) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD .203568) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA MD.203568) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: LA MD.203568) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2013-01-14 |