| NPI | 1013012566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME95805) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A93472) |
| 208M00000X Hospitalist (Licence: FL ME95805) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2021-03-29 |