| NPI | 1578504114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AL MD.27429) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NC 200400351) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-03-28 |