| NPI | 1679594329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: KY 46638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-28556) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-12-16 |