| NPI | 1215376801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC MD35793) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 78184) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: SC MD35793) | |
| 207Q00000X Family Medicine (Licence: SC LL35793) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2024-09-06 |