NPI | 1508029141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME107523) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME107523) |
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME91847) | |
Enumeration Date | 2008-07-03 |
Last Update Date | 2025-06-04 |