| NPI | 1730677709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME157130) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME157130) |
| 207Q00000X Family Medicine (Licence: SC MD52565) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2024-03-02 |