| NPI | 1063082063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL OS21544) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO Temporary) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2025-06-05 |