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 |