| NPI | 1508095332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WY 8610A) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CO DR0065142) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: AZ 006102) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CO dr0065142) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2022-05-19 |