| NPI | 1699731414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NH 11400) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: VT 032.0133928) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2023-02-23 |