| NPI | 1689637209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX G8171) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX G8171) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: TX G8171) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2015-12-10 |