| NPI | 1689200503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX H2318) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX H2318) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX H2318) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |