| NPI | 1891759197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MT 12538) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101041798) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MT 12538) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2016-02-23 |