NPI | 1982660759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX 018430) |
Additional Taxonomies | 251E00000X Home Health (Licence: TX 018430) |
207Q00000X Family Medicine (Licence: TX L5938) | |
Enumeration Date | 2006-04-21 |
Last Update Date | 2024-03-04 |