| NPI | 1982713053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TN MD00000-42587) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 2006-00402) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: TN 42587) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-09-20 |