| NPI | 1023049053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX L4738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L4738) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2020-03905) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-08-10 |