| NPI | 1528090602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0101262676) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD427451) |
| 207Q00000X Family Medicine (Licence: VA 0101262676) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-12-11 |