| NPI | 1992782932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H8021) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX H8021) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2025-07-09 |