| NPI | 1831357839 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: ME MD18836) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD18836) | 
| Enumeration Date | 2008-05-27 | 
| Last Update Date | 2013-01-28 |