| NPI | 1356602486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS19438) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AL DO.1658) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2023-02-09 |