| NPI | 1295327609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX V4991) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME166113) |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2025-08-03 |