| NPI | 1285660076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: TX Q9277) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2006034474) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-12-07 |