| NPI | 1710935440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AL 22942) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 00022942) |
| 207Q00000X Family Medicine (Licence: GA 057362) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2009-05-26 |