| NPI | 1821030834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200300473) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: NC 200300473) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-05-21 |