| NPI | 1043604390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TN 70450) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 70450) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME140547) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX T4663) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2024-08-09 |