| NPI | 1639462294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MT 155198) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WA OP60927120) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2025-06-16 |