| NPI | 1801055587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX P3649) |
| Additional Taxonomies | 208D00000X General Practice (Licence: DC MD038710) |
| 208D00000X General Practice (Licence: TX P3649) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2012-09-09 |