NPI | 1609459924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NV 27833) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV LL4376) |
Enumeration Date | 2021-05-04 |
Last Update Date | 2025-08-08 |