| NPI | 1770738932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101252211) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D0075337) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2017-02-17 |