| NPI | 1407965056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 33605) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: ME 017608) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: MD 69829) | |
| 207Q00000X Family Medicine (Licence: ME 017608) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-08-30 |