| NPI | 1831146737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NV 20524) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 20524) |
| 207Q00000X Family Medicine (Licence: MA 227671) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2022-07-18 |