NPI | 1780039404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: DC MD047337) |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VA 0101269635) |
Enumeration Date | 2016-05-02 |
Last Update Date | 2021-12-02 |