| NPI | 1790767713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NE 21178) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 21178) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: TX L5952) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: KS 04-43252) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036.152608) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: MO 2020039633) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IA MD-47281) | |
| 207R00000X Internal Medicine (Licence: TX L5952) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2024-05-22 |