| 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 | 2021-02-26 |