| NPI | 1174389027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 11030920) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL 11030920) |
| 208D00000X General Practice (Licence: FL 11030920) | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |