NPI | 1922184035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 32692) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 32692) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 32692) | |
Enumeration Date | 2006-10-31 |
Last Update Date | 2013-02-15 |