| NPI | 1356602486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA DO.000463) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS19438) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL OS19438) | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2026-01-06 |