| NPI | 1346561677 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: GA 068936)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 004365)  | 
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 068936)  | |
| Enumeration Date | 2010-06-22 | 
| Last Update Date | 2025-04-17 |