| NPI | 1851688931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D87962) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10040145) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2023-10-18 |