NPI | 1336854108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD R210495) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MD R210495) |
Enumeration Date | 2023-01-17 |
Last Update Date | 2023-01-17 |