| NPI | 1942647862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: ME DO2728) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102204289) |
| Enumeration Date | 2013-06-01 |
| Last Update Date | 2022-07-21 |