| NPI | 1700013505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX R2483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 275270) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2018-03-17 |