| NPI | 1275854622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX P3453) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10038781) |
| 207Q00000X Family Medicine (Licence: TX P3453) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2017-04-22 |