| NPI | 1619161809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: KY 42970) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 42970) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA 432313) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: KY 42970) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: PA 432313) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2022-02-25 |