| NPI | 1033603840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WA MD.MD.61167828) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD.MD.61167828) |
| 207Q00000X Family Medicine (Licence: IL 125071731) | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2026-05-12 |