| NPI | 1538304456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA OS016204) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT012533) |
| 207Q00000X Family Medicine (Licence: PA OS016204) | |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2016-12-14 |