| NPI | 1013398486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD471595) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ 25MA12168900) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: DE C1-0029110) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NE 1013398486) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: KS 04-52468) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: GA 100529) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IA MD-56419) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CO CDR.0006762) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35.154740) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0101287566) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036.178543) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME167217) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: LA 351264) | |
| 207Q00000X Family Medicine (Licence: PA MT209468) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D0102464) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2026-04-02 |