| NPI | 1003170614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 23600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q3720) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2024-12-16 |