| NPI | 1356662126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME130724) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX Q0436) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2022-07-21 |