| NPI | 1306138623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME108255) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME0108255) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2026-08-17 |