| NPI | 1255207395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD R216532) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MD R216532) |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |