| NPI | 1609097294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX P1469) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX P1469) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2017-07-13 |