| NPI | 1053363176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 13607) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NH 13607) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-08-30 |