| NPI | 1811341597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: UT 10493730-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 10493730-1205) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2021-11-12 |