| NPI | 1952350068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 19696) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NE 19696) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2011-06-22 |