| NPI | 1477120590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: ME MD24835) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME EC211071) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2025-08-19 |