| NPI | 1750600664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CO DR.0066936) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT196885) |
| 207Q00000X Family Medicine (Licence: CA A126621) | |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2023-02-09 |