| NPI | 1639147838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 36614) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 36614) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2023-03-07 |