| NPI | 1184002891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX R5427) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10054196) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2019-10-08 |