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 |