| NPI | 1215117551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 060040) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: GA 60040) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: GA 60040) | |
| Enumeration Date | 2007-11-03 |
| Last Update Date | 2020-08-20 |