| NPI | 1144388422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D19563) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D19563) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0101040606) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: DC MD31274) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-12-14 |