| NPI | 1114995305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX k5719) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX k5719) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2025-04-02 |