| NPI | 1497816268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 35049) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 35049) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 35049) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2025-10-16 |