| NPI | 1639499858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P8231) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: TX P8231) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2016-05-24 |