| NPI | 1598743114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 9500998) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 010127185) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: ME TD091103) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 309109-01) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: ME 018447) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2021-10-06 |