| NPI | 1861464901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2003-00671) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 200300671) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2016-12-07 |