| NPI | 1053699884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX R2599) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R2599) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 052727) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2025-03-19 |