| NPI | 1801027156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL os10719) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS10719) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2021-11-11 |