| NPI | 1629396379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME117481) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116022197) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL FL TRN 19037) | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2014-09-11 |