| NPI | 1144660119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME165050) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE TEP7025) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NE 29469) | |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2023-09-26 |