| NPI | 1750508958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D69568) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: DC MD037199) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2023-01-17 |