| NPI | 1851497697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA C53667) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ MA074900) |
| 207Q00000X Family Medicine (Licence: PA MD419629) | |
| 207Q00000X Family Medicine (Licence: WA MD040141) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: WA MD040141) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ MA074900) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD419629) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2018-10-19 |