| NPI | 1649532953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX Q4913) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q4913) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2018-12-19 |