| NPI | 1558400812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX J6829) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX J6829) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX J6829) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-01-28 |