| NPI | 1992874267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD23066) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OR MD23066) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-16 |