| NPI | 1992522254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0024191284) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0024191284) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |