| NPI | 1265899702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME127373) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME127373) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2022-07-21 |