NPI | 1477203503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 79606) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX V0487) |
Enumeration Date | 2022-03-23 |
Last Update Date | 2025-07-22 |