| NPI | 1396942256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: GA 66338) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME99319) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2022-01-18 |