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 |