| NPI | 1316183916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX N8503) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX n8503) |
| 207R00000X Internal Medicine (Licence: CA A134210) | |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2022-12-28 |