| NPI | 1003062035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX N7257) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP1-0029050) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2025-11-25 |