| NPI | 1740847748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 22910) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PR 22910) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2025-09-25 |