| 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 |