| NPI | 1528646825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: SC 93934) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2024-01148) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2025-08-05 |