| NPI | 1295489672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AL 1-144018) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 1-144018) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-04 |