| NPI | 1124231584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX L7577) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX L7577) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2016-07-17 |