| NPI | 1639565161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX S3461) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX S3461) |
| 207R00000X Internal Medicine (Licence: TX BP10052937) | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2021-12-16 |