| NPI | 1598720633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 30535) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MN 27789) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2023-06-22 |