| NPI | 1437711215 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: UT 12772364-1205) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME EC191067) | 
| Enumeration Date | 2019-07-02 | 
| Last Update Date | 2022-03-30 |