| NPI | 1134126717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX G0145) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX B26552) |
| 207Q00000X Family Medicine (Licence: TX G0145) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX B26552) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2021-04-08 |