| NPI | 1336529650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL OS14302) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS14302) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2021-06-08 |