NPI | 1598745325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 01879) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA OS013113) |
207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 01879) | |
Enumeration Date | 2006-01-18 |
Last Update Date | 2021-09-09 |