| NPI | 1053773598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: UT 10395901-1204) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 10395901-1204) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2019-06-10 |