| NPI | 1235272899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS006445E) |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine (Licence: PA OS006445E) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: PA OS006445E) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2021-12-10 |