| NPI | 1225739089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MO AG03230012) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MO AG03230012) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-16 |