| NPI | 1336843036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2025-02011) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: SC ll97442) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2026-09-01 |