| NPI | 1811199029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-43453) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301079633) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: HI MD-13808) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: AR E-7821) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2021-07-13 |