| NPI | 1093833469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD480867) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A100006) |
| 207Q00000X Family Medicine (Licence: NC 167097) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-07-19 |