| NPI | 1982926002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301041643) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301041643) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-10-01 |