| NPI | 1811002454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A68182) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L5491) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2020-03865) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX L5491) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A68182) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-06-02 |