| NPI | 1922015973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CO DR-47318) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NM 99-243) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2012-11-26 |