| NPI | 1558674705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: TX P5785) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: TX P5785) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2013-09-06 |