| NPI | 1770793911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 203174) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: LA MD 203174) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-03-06 |