| NPI | 1154570703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C170831) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA C170831) |
| 207Q00000X Family Medicine (Licence: NJ 25MA08462200) | |
| 207Q00000X Family Medicine (Licence: FL ME131534) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2021-10-12 |