| NPI | 1639117773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PR 11127) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 11127) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2022-07-21 |