| NPI | 1982824389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: MA 238996) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: MA 238996) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2016-03-15 |