| NPI | 1881646693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2010-01973) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 225296) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301106721) | |
| 207Q00000X Family Medicine (Licence: MI 4301106721) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-08-31 |