| NPI | 1508600057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: FL APRN11029847) |
| Additional Taxonomies | 207QA0000X Family Medicine Adolescent Medicine (Licence: FL APRN11029847) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: FL APRN11029847) | |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |