| NPI | 1366730699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 276665) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP1-0040878) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2023-10-13 |