| NPI | 1528321221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: TX R4630) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R4630) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2023-11-07 |