| NPI | 1285661942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: WA OP60448684) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: CO 44006) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2024-11-08 |