| NPI | 1003309261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NM MD2022-0358) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 125.077979) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2025-03-31 |