| NPI | 1922427475 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R8674) | 
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX R8674) | 
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX R8674) | |
| Enumeration Date | 2014-04-14 | 
| Last Update Date | 2024-08-13 |