| NPI | 1073201828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL 11024593) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL 11024593) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |