| NPI | 1467924480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 5011355) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 196513) |
| 207Q00000X Family Medicine (Licence: NC GRAN-SM8XV8) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC GRAN-SM8XV8) | |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2023-07-27 |