| NPI | 1558399717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: PA OS009973L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS009973L) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2023-10-02 |