| NPI | 1265968986 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX S7660)  | 
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX S7760)  | 
| Enumeration Date | 2017-05-02 | 
| Last Update Date | 2024-06-20 |