| NPI | 1851593008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX Q0269) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008002416) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-02-11 |