| NPI | 1871881227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R1062) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AR E-9151) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX R1062) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2021-03-09 |