| NPI | 1245682855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: LA 334200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 39705) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2023-01-06 |