| NPI | 1447872189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX V2577) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA FT3297682) |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2025-07-02 |