| NPI | 1861787897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: ME MD24291) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD24291) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD455985) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2021-01-06 |