| NPI | 1477094878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T0743) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX T0743) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO 2022015059) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2023-09-24 |