| NPI | 1457556045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX N7681) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10026202) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-01-28 |