| NPI | 1841561941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P2087) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: TX P2087) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2023-09-26 |