| NPI | 1013594365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0104163) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D0104163) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2026-03-19 |