| NPI | 1609001551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA C163543) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 056840) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CT 056840) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: DC MD043583) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MT446703) | |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2024-06-10 |