| NPI | 1366703720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: TX Q1126) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: TX Q1126) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2017-08-21 |