| NPI | 1861607640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: MO 2009018478) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: IL 036-121515) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-08-27 |