| NPI | 1952927766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MI 4301511662) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: MI 4351046047) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351046047) | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2024-09-05 |