| NPI | 1689803686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: CA C176159) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: NE 27012) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: AZ 56941) | |
| 207Q00000X Family Medicine (Licence: NE 27012) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2024-03-01 |